Our current CM is leaving once her CRNP license is approved, so they have been trying to hire a CM for a while now. Not many options to go with. They are now considering hiring a nurse from out of state with lots of management experience but no dialysis experience. The other RN at the clinic and I have concerns. We need a strong manager that can handle difficult staff, and generally, we can handle most day-to-day issues, so having someone without lots of dialysis knowledge may be OK. However, that means we have no coverage for vacations/call-offs for a good 6 months to a year. All the clinics in our area are short-staffed, so no float nurses are available. And it just seems like a huge learning curve to come into a specialty like this with no idea how a clinic functions. In light of this, I am trying to put together a list of questions to discuss with the current leadership. Does anyone have any experience with working under a CM without dialysis experience? Any other questions or concerns I should be raising?